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2015 Update: Approaches to Caries Removal
Author(s) -
Browning William D.
Publication year - 2015
Publication title -
journal of esthetic and restorative dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.919
H-Index - 60
eISSN - 1708-8240
pISSN - 1496-4155
DOI - 10.1111/jerd.12165
Subject(s) - randomized controlled trial , dentistry , critical appraisal , medicine , vitality , asymptomatic , alternative medicine , surgery , pathology , philosophy , theology
Every day in the United States and around the world, complete caries removal in vital, asymptomatic teeth with deep caries lesions ends in unavoidable exposure of the pulp. As a result, the complexity and cost of treatment increase dramatically, and many patients are left with extraction as their only viable option. This Critical Appraisal updates a previous appraisal (2013). Since that review three, systematic reviews of the literature and one large, randomized controlled clinical trial (RCT) have been published. Thus, newer, higher quality evidence is available that supports alternative treatments designed to preserve the vitality of the tooth and thus avoid extraction.